JON WALTER PETERSEN (NPI# 1831735141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831735141 |
| Entity Type | Individual |
| Full Name | JON WALTER PETERSEN |
| Credential | LPC |
| Practice Address |
4136 Queen Ave S Apt 100 Minneapolis MN 55410-1254 |
| Practice Telephone | 9525647365 |
| Mailing Telephone | 9525647365 |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2019-11-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396937330 | Jon R Petersen | Massage Therapist | 1307 Court St, Mchenry, IL 60050-4422 | 2007-08-14 |
| 1285621516 | Jon Fredrick Petersen | Family Medicine | 1750 E Lake Shore Dr, Decatur, IL 62521-3803 | 2005-10-03 |
| Street Address |
4136 QUEEN AVE S APT 100 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55410-1254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942687397 | Hope Psychology Practice, LLC | Psychologist | 2720 W. 43rd St., Suite 205, Minneapolis, MN 55410 | 2015-05-05 |
| 1396926077 | Julie Anne Hurtuhise | Occupational Therapist | 4516 Zenith Ave S, Minneapolis, MN 55410 | 2007-11-21 |
| 1063534634 | Pat Brendon Obrien | Chiropractor | 5049 France Ave S, Minneapolis, MN 55410 | 2007-04-04 |
| 1144322272 | Ted Marvin Beeman | Dentist | 2306 W 50th St, Minneapolis, MN 55410 | 2006-09-01 |
| 1306840848 | Rhondi L Miller | Physical Therapist | 5400 France Ave S, Edina, MN 55410 | 2005-06-13 |
| 1063935732 | Caryn Herrick | Physical Therapist | 5400 France Ave S, Edina, MN 55410 | 2017-07-25 |
| 1578858643 | David A. Cook, Dds, Pa | Dentist | 4999 France Ave S, Suite 230, Minneapolis, MN 55410 | 2011-06-16 |
| 1457682395 | Katrina Koller | Massage Therapist | 4049 Abbott Ave S, Minneapolis, MN 55410-1002 | 2010-01-15 |
| 1659538296 | Mary Ann Ryken | Physical Medicine & Rehabilitation | 3800 Vincent Ave S, Minneapolis, MN 55410-1122 | 2008-05-21 |
| 1578824330 | Stephens Psychological Services | Psychologist | 3829 Washburn Ave S, Minneapolis, MN 55410-1129 | 2012-06-07 |
| Find all providers in zip 55410 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588278444 | Sam Chafos Trewick | Counselor | 3237 Fremont Ave S, Minneapolis, MN 55408-3531 | 2020-09-08 |
| 1962026781 | Dylan Thaemert | Counselor | 2012 Bryant Ave S Ste 1, Minneapolis, MN 55405-2819 | 2020-06-08 |
| 1790332195 | Esther Swen | Counselor | 2827 Newton Ave N, Minneapolis, MN 55411-1142 | 2019-08-20 |
| 1154976926 | Isuroon | Counselor | 1600 E. Lake St., Suite 1, Minneapolis, MN 55407-1884 | 2019-08-07 |
| 1891354791 | James Clayton | Counselor | 1611 E 32nd St, Minneapolis, MN 55407-1828 | 2019-06-13 |
| 1023592904 | Cody Lewis Oaks | Counselor | 1302 2nd St Ne Ste 210, Minneapolis, MN 55413-2993 | 2018-09-18 |
| 1679847156 | Lavethe Roaitia Liggins | Counselor | 2616 Nicollet Ave South, Minneapolis, MN 55404-0900 | 2012-03-01 |
| 1902196579 | Steven Branco | Counselor | 2323 Benjamin St Ne, Minneapolis, MN 55418-4001 | 2011-04-15 |
| 1447577143 | Kareem Shareef Braxton | Counselor | 227 Colfax Avenue North, Suite 130, Minneapolis, MN 55405 | 2010-04-21 |
| 1336374750 | Samantha Louise Yerks | Counselor | 4725 Excelsior Blvd Ste 400, Minneapolis, MN 55416-3047 | 2009-05-29 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55410 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.